A review article in the Annals of Internal Medicine has concluded that the gram-negative anaerobe Fusobacterium necrophorum is as common as group A strep in teenagers with sore throats. Up to 1 in 400 of these cases develop complications, such as abscess formation, septicaemia with septic pulmonary emboli, and Lemierre syndrome (septic thrombophlebitis of the …
Tag Archives: pharyngitis
Tonsillitis / pharyngitis: who do you treat?
The modified Centor clinical prediction rule helps clinicians detect which children presenting with sore throat are likely to have group A beta-hemolytic streptococcus and therefore need investigation and/or treatment. This group is identified by three or more of the following signs and symptoms: fever tender anterior cervical lymph nodes tonsillar or pharyngeal exudate absence of …
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